Outcomes of surgery for congenital heart defects in children with trisomy 13 or 18 were evaluated in 98 pts the Pediatric Cardiac Care Consortium 1982-2008. Hospital mortality was 28% and 13%, respectively. Median survival was 15 years and 16 years, primarily related to cardiac and respiratory causes.
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May 27, 2017
May 18, 2017
He weighed merely 470 grams at birth and was just the size of a palm. He was born prematurely after 28 weeks (5.5 months). His eyes hadn't opened, lungs weren't developed, skin resembled parchment paper, too fragile and delicate to touch, and he had heart complications.
May 17, 2017
Surgery for treatment of this aortopathy entailing aortic root replacement was assessed in this single institution retrospective study of 34 children. 90% had valve sparing surgery; there was no operative mortality. Reintervention is commonly needed, and frequent surveillance imaging is recommended.
May 11, 2017
I was moved by this editorial on global health matters in a daily British newspaper by an academic medical colleague, written in response to anticipated changes in the leadership of the World Health Organisation. It is perhaps time for us surgeons to augment our administrative participation in global healthcare.
April 18, 2017
The authors examined characteristics of patients undergoing initial palliation for hypoplastic left heart syndrome (HLHS) who remained hospitalized and who required superior cavopulmonary anastomosis (SCPA) during the same hospitalization. 6% of nearly 5400 infants required SCPA during the same admission. A number of conditions/complications were i
April 11, 2017
The authors present the case of a neonate who developed mitral valve infective endocarditis.
March 27, 2017
The authors describe use of a stented jugular vein graft in the mitral position in infants at a median of 8.5 months and 5.6 Kg. Hemodynamics improved substantially, with no important MR or paravalvular leak. The ratio of the narrowest subaortic dimension in systole to the actual mitral valve dimension <0.5 was associated with LV outflow tract o
March 15, 2017
This video shows the treatment of a 4-month-old male patient, who was diagnosed with a large ventricular septal defect after evaluation for respiratory distress.
March 5, 2017
31 pts who underwent arterial switch at a weight of 2.5 kg or less were evaluated for outcomes. Surgery was performed at an average of 16 days of life. Mortality was 2.8% for those weighing 2.0-2.5 kg, and was 50% for those under 2 kg. At a mean follow-up of 13 years, 8% had required late reoperation.
Recoarctation After Norwood I Procedure for Hypoplastic Left Heart Syndrome: Impact of Patch Material
January 28, 2017
The authors assessed the influence of patch material type on the incidence of recoarctation in infants undergoing Norwood I repair for hypoplastic left heart syndrome. Among 145 patients, recoarctation developed in 18% at a median of 4.3 months. At 2 years, freedom from recoarctation was about 85% for homograft and autologous pericardium, whereas i